| NPI | 1093093015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704216583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017719) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2024-03-13 |